Pushkar Raj Pandey, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C51295 Issued in CA

Practice address

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552

Phone

(707) 429-3600

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northbay Physicians Surgery Center, LLCGroup PAC ID 0042122244, 336 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bristol Hospice - East Bay Hospice, Pleasanton, CA, CCN 921543
• Bristol Hospice - Sacramento, LLC Hospice, Roseville, CA, CCN 551538
• Northbay Medical Center Hospital, Fairfield, CA, CCN 050367

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northbay Healthcare Group

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of California, Inc

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1184663965
  Medicare reassignment NPD
• Northbay Healthcare Group

  • Multi-Specialty Clinic/Center
  • Vacaville, CA
  • NPI 1760534713
  NPD
• Inpatient Consultants of California, Inc.

  • Hospitalist Physician
  • Berkely, CA
  • NPI 1831134253

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bristol Hospice - Sacramento, LLC

  • Community Based Hospice Care Agency
  • Roseville, CA
  • NPI 1235331828
  Care Compare affiliation
• Northbay Healthcare Group

  • General Acute Care Hospital
  • Fairfield, CA
  • NPI 1821147786
  Care Compare affiliation
• Sojourn Hospice & Palliative Care -East Bay, LLC.

  • Community Based Hospice Care Agency
  • Pleasanton, CA
  • NPI 1508271388
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1477522480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 WEBSTER ST",
            "address_2": "SUITE A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334997",
            "telephone_number": "707-423-2510",
            "fax_number": "707-425-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 B GALE WILSON BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333552",
            "telephone_number": "707-429-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDEY",
        "first_name": "PUSHKAR",
        "middle_name": "RAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C512950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia Leite Pallotta
• Sofia Palma
• Jennifer Palmer
• Virgilieta Palomeras, BUSINESS MANAGER
• Delia Jeanette Panchula, RN, PHN, IBCLC
• Seturam Pandurangi, M.D.
• Joyce Arevalo Pangilinan, D.D.S.
• Kristine Ona Paningbatan, OTR/L
• Angelica May Panlasigui
• Pantea Pahlavan, MD

• Internal Medicine Physician in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.